By Michael Colquhoun, Anthony J. Handley, T. R. Evans
This advisor has concise and sensible info on all facets of resuscitation. New instructions are only one of many alterations to the fifth variation of this ebook as a few of the chapters were thoroughly rewritten.
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Additional info for ABC of resuscitation
Access Follow AF algorithm Vagal manoeuvres (caution if possible digitalis toxicity, acute ischaemia, or presence of carotoid bruit for carotoid sinus massage) Regular narrow complex tachycardia Vagotonic manoeuvres, such as the Valsava manoeuvre or carotid sinus massage, should always be considered as first line treatment. Caution is required, however, as profound vagal tone may cause a sudden bradycardia and trigger ventricular fibrillation, particularly in the presence of acute ischaemia or digitalis toxicity.
Acid gastric fluid may cause severe chemical pneumonitis. Failure to maintain a clear airway during spontaneous ventilation may encourage regurgitation. This is because negative intrathoracic pressure developed during obstructed inspiration may encourage aspiration of gastric contents across a weak mucosal flap valve between the stomach and oesophagus. Recent food or fluid ingestion, intestinal obstruction, recent trauma (especially spinal cord injury or in children), obesity, hiatus hernia, and late pregnancy all make regurgitation more likely to occur.
Shocks should be repeated as indicated by the AED. If a circulation returns after a shock, check for breathing and continue to support the patient by rescue breathing if required. Check the patient every minute to ensure that signs of a circulation are still present. If the patient shows signs of recovery, place in the recovery position. Liaise with the emergency services when they arrive and provide full details of the actions undertaken. Report the incident to the medical supervisor in charge of the AED scheme so that data may be extracted from the machine.